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SCOTT EYE CARE LTD.
NPI 1013121433
Optometrist in Montgomery, IL

Active since May 09, 2007CLIA 14D2103768 · Waiver
1335 DOUGLAS RD, SUITE E, MONTGOMERY, IL 60538(630) 844-0908(630) 844-0677 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Eye Care Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT EYE CARE LTD. (NPI 1013121433) is a healthcare organization registered as an optometrist in Montgomery, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Chula Lerdvoratavee, President, as its authorized official.

NPPES Registry Identity

NPI1013121433
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSCOTT EYE CARE LTD.
Location Address1335 DOUGLAS RD, SUITE EMontgomery, IL 60538-1634
Mailing Address1335 Douglas Rd, Suite EMontgomery, IL 60538-1634 · (630) 844-0908 · Fax (630) 844-0677
Phone(630) 844-0908
Fax(630) 844-0677
Organization SubpartNo
Authorized OfficialChula LerdvorataveePresident · (630) 844-0908
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013121433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1335 DOUGLAS RD, Montgomery, IL 60538
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2103768

Scott Eye Care, Ltd · Oswego, IL
Active · expires Sep 17, 2027
CLIA Number14D2103768
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorRonald S. Weingart
Laboratory Phone(630) 844-0908
Laboratory LocationScott Eye Care, Ltd2075 Wiesbrook Dr, Oswego, IL 60543
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VASANA LERDVORATAVEE O.D.
Optometrist (Vision Therapy)
1335 DOUGLAS RD, SUITE E
MONTGOMERY, IL 60538
Kane County (630) 844-0908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Eye Care Ltd.'s NPI number?

The NPI number for Scott Eye Care Ltd. is 1013121433. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Scott Eye Care Ltd. located?

Scott Eye Care Ltd. is located at 1335 Douglas Rd Suite E, Montgomery, IL 60538. The listed phone number is (630) 844-0908.

What is Scott Eye Care Ltd.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Scott Eye Care Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2103768) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scott Eye Care Ltd. accept?

Health plans from BlueCross BlueShield of Tennessee list Scott Eye Care Ltd. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Eye Care Ltd. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.